Which behavior change techniques are associated with changes in physical activity, diet and body mass index in people with recently diagnosed diabetes?

Which behavior change techniques are associated with changes in physical activity, diet and body mass index in people with recently diagnosed diabetes?
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DOI:
10.1007/s12160-014-9624-9
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发表时间:
2015-02
影响因子:
3.8
通讯作者:
Hardeman, Wendy
Hardeman, Wendy
中科院分区:
心理学2区
文献类型:
--
作者:
Hankonen, Nelli;Sutton, Stephen;Prevost, A. Toby;Simmons, Rebecca K.;Griffin, Simon J.;Kinmonth, Ann Louise;Hardeman, Wendy

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Meta分析已经从干预描述中确定了在改变肥胖相关行为方面有前景的行为改变技术(BCT)。然而,目前尚不清楚这些BCT是否被干预参与者使用,并与结果相关。这项研究的目的是调查参与者在针对体力活动和饮食的干预中使用BCT的情况,以及BCT的使用是否与行为变化和减肥有关。在ADDUS-PLUS试验中,最近诊断为2型糖尿病的干预参与者(N = 239年;40-69岁)接受了基于理论的干预,教会了他们一系列BCT。据报道,BCT的使用率为1年。36%的参与者报告使用了所有16种干预性BCT。使用更多的BCT和特定的BCT(例如,设定目标)与身体质量指数(BMI)的降低有关。BCT的使用与体重减轻有关。未来的研究应该确定在日常生活中促进BCT使用的策略。(试验注册:ISRCTN99175498。)本文的在线版本(doi:10.1007/s121609624-9)包含补充材料,授权用户可以使用。
Meta-analyses have identified promising behavior change techniques (BCTs) in changing obesity-related behaviors from intervention descriptions. However, it is unclear whether these BCTs are used by intervention participants and are related to outcomes. The purpose of this study is to investigate BCT use by participants of an intervention targeting physical activity and diet and whether BCT use was related to behavior change and weight loss. Intervention participants (N = 239; 40–69 years) with recently diagnosed type 2 diabetes in the ADDITION-Plus trial received a theory-based intervention which taught them a range of BCTs. BCT usage was reported at 1 year. Thirty-six percent of the participants reported using all 16 intervention BCTs. Use of a higher number of BCTs and specific BCTs (e.g., goal setting) were associated with a reduction in body mass index (BMI). BCT use was associated with weight loss. Future research should identify strategies to promote BCT use in daily life. (Trial Registration: ISRCTN99175498.) The online version of this article (doi:10.1007/s12160-014-9624-9) contains supplementary material, which is available to authorized users.
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